69 NE 99 St (11)MIAMI SHORES VILLAGE. FLORIDA
BUILDING ❑
ELECTRICAL ❑ PERM I T N° 6390 Contractor s
PLUMBING ❑ License No.
ROOFING ❑
4- A
Owner of
Building 41 a i
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
CONTRACTCR OR BUILDER
Bl
Work to be performed under this Permit
f.)
Subdi-
vision
Value of
Project $
DATE '' 195
Amount of
Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed. EA) -�..6, y : -a°6 . � -�.� BY:
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper 'authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
to
Permit No
s� l
Owner's Name and Address
Registered Architect and /or Engine - _
Employing Plumber's Name ___- tX-sll t
- Y
MIAMI SHORES VILlAGZ
PLUMBING INSPECTION DEPARTMEI `'
APPLICATION FOR PLUMBING '' ;
Date 7
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
No. (O-.9 4F Street j`
Str .. afie-'P
Location and Legal Description Lot.______________ ._____________ Block_ ___________.__._. Subdivision
Street and Number where work is to be performed —No fii9/1/E' .S if el-At Street
State work to be performed and purpose of building (By Floors ) _ ____ - __
New Building Remodeling ______________________._..__ Addition..._____._______ _:___. Repairs No. of Stories
Size Septic Tank Type of Tank
Feet of Drain Tile
--- ----- ----------
42
Amount of Permit $_ -_ __-
STATE OF FLORIDA,
COUNTY OF DADE.
Dist. Feet of Tank or Drain Field from W ell
Nature of Water Supply: City — Well.______ _ _____._.___._ __._Size of Soakage Pit
( Signed
Capacity Gals
J
1
g Inspec
The undersigned applicant for this building permit does hereby certify that he understands and accepts If obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary, Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or worlcmanship.
CLOSETS
BATH
TU86
W
SHOWERS
LAVA-
TORIES
1
661"8
SLOP
SINKS
LAUNDRY
ToeE
UR
CATCH
BASIN
FLOOR
DRAIN
DRINKI NO
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HCATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM' O
POOL
CONTR.
LIST
` --
CHECK
to
Permit No
s� l
Owner's Name and Address
Registered Architect and /or Engine - _
Employing Plumber's Name ___- tX-sll t
- Y
MIAMI SHORES VILlAGZ
PLUMBING INSPECTION DEPARTMEI `'
APPLICATION FOR PLUMBING '' ;
Date 7
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
No. (O-.9 4F Street j`
Str .. afie-'P
Location and Legal Description Lot.______________ ._____________ Block_ ___________.__._. Subdivision
Street and Number where work is to be performed —No fii9/1/E' .S if el-At Street
State work to be performed and purpose of building (By Floors ) _ ____ - __
New Building Remodeling ______________________._..__ Addition..._____._______ _:___. Repairs No. of Stories
Size Septic Tank Type of Tank
Feet of Drain Tile
--- ----- ----------
42
Amount of Permit $_ -_ __-
STATE OF FLORIDA,
COUNTY OF DADE.
Dist. Feet of Tank or Drain Field from W ell
Nature of Water Supply: City — Well.______ _ _____._.___._ __._Size of Soakage Pit
( Signed
Capacity Gals
J
1
g Inspec
The undersigned applicant for this building permit does hereby certify that he understands and accepts If obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary, Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or worlcmanship.
BUILDING ❑
ELECTRICAL ❑
PLUMBING
ROOFING ❑
❑
Owner of
Building j .
CONTRACTOR ,OR-7, BL
MIAMI SHORES VILLAGE. FLORIDA
DATE ��`'' ' 195_
PERMIT
Architect
Contractor ,-
or Builder
Legal Lot
Description + Bl
Address of , E tj "
(
Building �
N° 5759
Work to be performed under this Permit
Signed.
Subdi-
vision
Value of t; , ,,, y,)
Project $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a th rough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or s cificotions and that he assumes responsibility for work
done by his agents, servants or employees.
f
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
INSPECTOR
BY
Contractor's
License No.
AUTHORITY
Amount of
Permit $
6